Evidence map›Paper›PMID 33631002›Full record

ArticleNeuro-oncology2021

DNA methylation-based signatures classify sporadic pituitary tumors according to clinicopathological features.

Maritza S Mosella, Thais S Sabedot, Tiago C Silva, Tathiane M Malta, Felipe Segato Dezem, Karam P Asmaro, Michael Wells, Abir Mukherjee, Laila M Poisson, James Snyder and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Frontiers in immunology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. DNA Methylation in Pituitary Adenomas: A Scoping Review.International journal of molecular sciences · 2025
    Article
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  15. Review
  16. Review
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 2 countries.

Maritza S MosellaHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
Thais S SabedotHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
Tiago C SilvaDepartment of Genetics, Ribeirao Preto Medical School, University of São Paulo, Ribeirao Preto, Sao Paulo, Brazil.
Tathiane M MaltaHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
Felipe Segato DezemDepartment of Genetics, Ribeirao Preto Medical School, University of São Paulo, Ribeirao Preto, Sao Paulo, Brazil.
Karam P AsmaroDepartment of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA.
Michael WellsHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
Abir MukherjeeDepartment of Pathology, Henry Ford Health System, Detroit, Michigan, USA.
Laila M PoissonHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
James SnyderHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
Ana C deCarvalhoHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
Tobias WalbertHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.
Todd AhoDepartment of Radiology, Henry Ford Health System, Detroit, Michigan, USA.
Steven KalkanisDepartment of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA.
Paula C EliasInternal Medicine Department, Ribeirao Preto Medical School, University of São Paulo, Ribeirao Preto, Sao Paulo, Brazil.
Sonir R AntoniniDepartment of Pediatrics, Ribeirao Preto Medical School, University of São Paulo, Ribeirao Preto, Brazil.
Jack RockDepartment of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA.
Houtan NoushmehrHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.ORCID 0000-0003-4051-8114
Margaret CastroInternal Medicine Department, Ribeirao Preto Medical School, University of São Paulo, Ribeirao Preto, Sao Paulo, Brazil.
Ana Valeria CastroHermelin Brain Tumor Center, Henry Ford Cancer Institute, Henry Ford Health System, Detroit, Michigan, USA.ORCID 0000-0003-1625-0015
Henry Ford Health System · USUniversidade de São Paulo · BR

Funding

Molecular and clinical evaluation of the glioma patient experience to anticipate modern outcomes and guide patient careR01CA222146 · NCI · HENRY FORD HEALTH SYSTEM · PI POISSON, LAILA M · 2018 to 2023
$2.8M
A.V.C. and K.P.A. by Henry Ford Hospital A30935Department of Defense CA170278NCI NIH HHS R01 CA222146NIH HHS R01CA222146São Paulo Research Foundation 16/11039-3
6 · The paper itself

Abstract

backgroundDistinct genome-wide methylation patterns cluster pituitary neuroendocrine tumors (PitNETs) into molecular groups associated with specific clinicopathological features. Here we aim to identify, characterize, and validate methylation signatures that objectively classify PitNET into clinicopathological groups.

methodsCombining in-house and publicly available data, we conducted an analysis of the methylome profile of a comprehensive cohort of 177 tumors (Panpit cohort) and 20 nontumor specimens from the pituitary gland. We also retrieved methylome data from an independent PitNET cohort (N = 86) to validate our findings.

resultsWe identified three methylation clusters associated with adenohypophyseal cell lineages and functional status using an unsupervised approach. Differentially methylated probes (DMP) significantly distinguished the Panpit clusters and accurately assigned the samples of the validation cohort to their corresponding lineage and functional subtypes memberships. The DMPs were annotated in regulatory regions enriched with enhancer elements, associated with pathways and genes involved in pituitary cell identity, function, tumorigenesis, and invasiveness. Some DMPs correlated with genes with prognostic and therapeutic values in other intra- or extracranial tumors.

conclusionsWe identified and validated methylation signatures, mainly annotated in enhancer regions that distinguished PitNETs by distinct adenohypophyseal cell lineages and functional status. These signatures provide the groundwork to develop an unbiased approach to classifying PitNETs according to the most recent classification recommended by the 2017 WHO and to explore their biological and clinical relevance in these tumors.

Indexed as

Neuroendocrine TumorsPituitary NeoplasmsCohort StudiesDNA MethylationHumansPrognosisclassificationDNA methylationenhancerspituitary neuroendocrine tumors

Identifiers

PMID33631002
PMCPMC8328022
OpenAlexW3133441729

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.